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Hip FracturesNCT07419789

Precision Care for Older Persons

A study testing Advanced Person-Centered (APC) Smart Home Care Model in people with Hip Fractures, run by Chang Gung Memorial Hospital at 2 sites in Taiwan.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to 1) develop an Advanced Person-Centered (APC) Smart Home Care Model that is able to predict patient outcomes; and 2) evaluate the effectiveness of this model by assessing improvements in care and recovery for older individuals post hip fracture. Read more about this study

Who is it for?
Ages 60 to 120 years
Conditions the study is for
Hip Fractures
What is being tested?
Advanced Person-Centered (APC) Smart Home Care Model
Could I receive a placebo?
No, everyone receives an active treatment
How many people
218 participants
Where
2 sitesTaiwan
Study dates
1 Aug 2026to 31 Dec 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 to 120 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ≥ 60 years old,
  • had been transferred from the emergency department to the hospital due to a unilateral hip fracture,
  • repair of the hip fracture involved either hip arthroplasty or internal fixation, 4) their primary place of residence was northern Taiwan

Who cannot join

  • severity of cognitive impairment (a CMMSE score of < 10),
  • known to be terminally ill,
  • has no primary family caregiver,
  • residing in an institutional care facility

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Yea-Ing Shyu, PhD contact

+886978697460

yeaing@mail.cgu.edu.tw

Jersey Liang, PhD contact

jliang@umich.edu

Taiwan2 sites
  • Tuchen Branch Chang Gung Hospital

    New Taipei City, Taiwan, 106

    Yea-Ing Shyu, 0978697460, yeaing@mail.cgu.edu.tw

    Chen-June Seak, MS, MD, julianseak@hotmail.com

  • Linkuo Chang Gung Memorial Hospital

    Taoyuan, Taiwan, 33302

    Yea-Ing Shyu, PhD, 0978697460, yeaing@mail.cgu.edu.tw

    Yu-Chih Lin, Master, b101092127@tmu.edu.tw

Other trials in Taiwan

About this study

Official title: Precision Care for Older Persons With Hip Fractures

This study aims to 1) develop an Advanced Person-Centered (APC) Smart Home Care Model that is able to predict patient outcomes; and 2) evaluate the effectiveness of this model by assessing improvements in care and recovery for older individuals post hip fracture.

Read the detailed description

The APC Smart Home Care Model will be developed as follows: a) incorporate a prediction system based on ML data available from our prior studies; b) incorporate an enhanced feedback system using results from the prediction system, which will allow family caregivers to receive timely alerts and facilitate interactions between home care nurses and caregivers; and c) the APC prediction system will be further developed to allow for implementation of targeted home nursing interventions that can be individualized to meet the specific needs of each family caregiver and the person recovering from hip fracture. A mixed-methods approach will be employed to examine the effectiveness of the system, using a combination of quantitative and qualitative data.

Conditions
Hip Fractures
Being tested
Advanced Person-Centered (APC) Smart Home Care Model
Keywords
hip fracture, family caregiving, smart care, person-centered care, precision care
Medical subject headings
Hip Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Advanced Person-Centered (APC) Smart Home Care ModelBehavioural

    Enhanced Smart Care Model (SCM) that incorporates precise predictions of adverse outcomes and improvements in the real-time feedback system for caregivers and person-center home-based nursing.

Study groups in NCT07419789
Study groupRoleWhat they receive
Advanced Person-Centered (APC) Smart Home Care ModelExperimentalSmart cloth assisted Home Care will be tailored to the needs of the individual with hip fracture and promptly administered. Continuous monitoring of clinical data will identify deviations from a patient's daily routine, which will guide ML-predictions of adverse outcomes and facilitate proactive health interventions by home nurses. Real-time feedback to caregivers will be provided via an app, providing timely alerts and ensuring swift and appropriate action.
Receives: Behavioral: Advanced Person-Centered (APC) Smart Home Care Model
Usual careNo interventionRoutine hospital care following hip fracture surgery without smart cloth care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fall Incidents.

    number of falls

    Measured: 1st month following discharge

  2. Fall Incidents.

    number of falls

    Measured: 3rd month following hospital discharge

  3. Fall insidents

    number of falls

    Measured: 6th month following hospital discharge

  4. Fall incidents

    Number of falls

    Measured: 12th month following hospital discharge

  5. Fall incidents

    Number of falls

    Measured: 18th month following hospital discharge

  6. Fall incidents

    Number of falls

    Measured: 24th month following hospital discharge

  7. range of motion

    The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree

    Measured: 1st month following hospital discharge

  8. Muscle strength of affected limb

    maximum amount of force that a muscle can generate during a single contraction. The unit is weights.

    Measured: 1st month following hosptial discharge

  9. Visual analog of Pain score

    patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.

    Measured: 1st month following hospital discharge

  10. Barthel Index

    assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.

    Measured: 1st month following discharge

  11. Lawton IADL scale

    Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.

    Measured: 1st month following discharge

  12. Caregiver balance

    The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.

    Measured: 1st following hospital discharge

  13. Caregiver balance

    The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.

    Measured: 3rd month following hospital discharge

  14. Caregiver Balance

    The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.

    Measured: 6th month following hospital discharge

  15. Caregiver Balance

    The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.

    Measured: 12th month following hospital discharge

  16. Caregiver Balance

    The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.

    Measured: 18th month following hospital discharge

  17. Caregiver Balance

    The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.

    Measured: 24 month following hospital discharge

  18. Caregiver preparedness

    Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.

    Measured: 1st month following hospital discharge

  19. Caregiver preparedness

    Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.

    Measured: 3rd month following hospital discharge

  20. Caregiver Preparedness

    Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.

    Measured: 6th month following hospital discharge

  21. Caregiver Preparedness

    Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.

    Measured: 12 month following hospital discharge

  22. Caregiver preparedness

    Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.

    Measured: 18th month following hospital discharge

  23. range of motion

    The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree

    Measured: 3rd month following hospital discharge

  24. Caregiver Preparedness

    Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.

    Measured: 24th month following hospital discharge

  25. range of motion

    The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree

    Measured: 6th month following hospital discharge

  26. range of motion

    The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree

    Measured: 12th month following hospital discharge

  27. range of motion

    The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree

    Measured: 18th month following hospital discharge

  28. range of motion

    The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree

    Measured: 24th month following hospital discharge

  29. Muscle strength of affected limb

    maximum amount of force that a muscle can generate during a single contraction. The unit is weights.

    Measured: 3rd month following hosptial discharge

  30. Muscle strength of affected limb

    maximum amount of force that a muscle can generate during a single contraction. The unit is weights.

    Measured: 6th month following hosptial discharge

  31. Muscle strength of affected limb

    maximum amount of force that a muscle can generate during a single contraction. The unit is weights.

    Measured: 12th month following hosptial discharge

  32. Muscle strength of affected limb

    maximum amount of force that a muscle can generate during a single contraction. The unit is weights.

    Measured: 18th month following hosptial discharge

  33. Muscle strength of affected limb

    maximum amount of force that a muscle can generate during a single contraction. The unit is weights.

    Measured: 24th month following hosptial discharge

  34. Visual analog of Pain score

    patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.

    Measured: 3rd month following hospital discharge

  35. Visual analog of Pain score

    patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.

    Measured: 6th month following hospital discharge

  36. Visual analog of Pain score

    patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.

    Measured: 12th month following hospital discharge

  37. Visual analog of Pain score

    patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.

    Measured: 18th month following hospital discharge

  38. Visual analog of Pain score

    patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.

    Measured: 24th month following hospital discharge

  39. Barthel Index

    assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.

    Measured: 3rd month following discharge

  40. Barthel Index

    assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.

    Measured: 6th month following discharge

  41. Barthel Index

    assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.

    Measured: 12th month following discharge

  42. Barthel Index

    assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.

    Measured: 18 month following discharge

  43. Barthel Index

    assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.

    Measured: 24th month following discharge

  44. Lawton IADL scale

    Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.

    Measured: 3rd month following discharge

  45. Lawton IADL scale

    Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.

    Measured: 6th month following discharge

  46. Lawton IADL scale

    Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.

    Measured: 12 month following discharge

  47. Lawton IADL scale

    Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.

    Measured: 18 month following discharge

  48. Lawton IADL scale

    Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.

    Measured: 24 month following discharge

Secondary outcomes (36)
  1. number of visits to emergency department

    collected by assessor asking family members

    Measured: 1st month following hospital discharge

  2. number of hospital readmission

    collected by assessor by asking family members

    Measured: 1st month following hospital discharge

  3. Cognitive function

    Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function.

    Measured: 1st month following hospital discharge

  4. Cognitive function

    Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function.

    Measured: 3rd month following hospital discharge

  5. Cognitive function

    Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function.

    Measured: 6th month following hospital discharge

  6. Cognitive function

    Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function.

    Measured: 12th month following hospital discharge

  7. Cognitive function

    Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function.

    Measured: 18th month following hospital discharge

  8. Cognitive function

    Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function.

    Measured: 24th month following hospital discharge

  9. Depressive symptoms

    Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms.

    Measured: 1st month following hospital discharge

  10. Depressive symptoms

    Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms.

    Measured: 3rd month following hospital discharge

  11. Depressive symptoms

    Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms.

    Measured: 6th month following hospital discharge

  12. Depressive symptoms

    Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms.

    Measured: 12th month following hospital discharge

  13. Depressive symptoms

    Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms.

    Measured: 18th month following hospital discharge

  14. Depressive symptoms

    Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms.

    Measured: 24th month following hospital discharge

  15. Nutritional Status

    The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status.

    Measured: 1st month following hospital discharge

  16. Nutritional Status

    The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status.

    Measured: 3rd month following hospital discharge

  17. Nutritional Status

    The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status.

    Measured: 6th month following hospital discharge

  18. Nutritional Status

    The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status.

    Measured: 12th month following hospital discharge

  19. Nutritional Status

    The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status.

    Measured: 18th month following hospital discharge

  20. Nutritional Status

    The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status.

    Measured: 24th month following hospital discharge

  21. Health-Related Quality of Life (HRQoL)

    Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes.

    Measured: 1st month following hospital discharge

  22. Health-Related Quality of Life (HRQoL)

    Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes.

    Measured: 3rd month following hospital discharge

  23. Health-Related Quality of Life (HRQoL)

    Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes.

    Measured: 6th month following hospital discharge

  24. Health-Related Quality of Life (HRQoL)

    Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes.

    Measured: 12th month following hospital discharge

  25. Health-Related Quality of Life (HRQoL)

    Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes.

    Measured: 18th month following hospital discharge

  26. Health-Related Quality of Life (HRQoL)

    Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes.

    Measured: 24th month following hospital discharge

  27. number of visits to emergency department

    collected by assessor asking family members

    Measured: 3rd month following hospital discharge

  28. number of visits to emergency department

    collected by assessor asking family members

    Measured: 6th month following hospital discharge

  29. number of visits to emergency department

    collected by assessor asking family members

    Measured: 12th month following hospital discharge

  30. number of visits to emergency department

    collected by assessor asking family members

    Measured: 18th month following hospital discharge

  31. number of visits to emergency department

    collected by assessor asking family members

    Measured: 24th month following hospital discharge

  32. number of hospital readmission

    collected by assessor by asking family members

    Measured: 3rd month following hospital discharge

  33. number of hospital readmission

    collected by assessor by asking family members

    Measured: 6th month following hospital discharge

  34. number of hospital readmission

    collected by assessor by asking family members

    Measured: 12 month following hospital discharge

  35. number of hospital readmission

    collected by assessor by asking family members

    Measured: 18th month following hospital discharge

  36. number of hospital readmission

    collected by assessor by asking family members

    Measured: 24 month following hospital discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Feb 2026
  2. Study start1 Aug 2026 (estimated)
  3. Primary completion31 Dec 2030 (estimated)
  4. Study completion31 Dec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
218 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07419789
Sponsor's protocol ID
NHRI-EX115-11506PI
Status last verified
Oct 2025
First submitted
3 Feb 2026
Last updated
19 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Advanced Person-Centered (APC) Smart Home Care Model in people with Hip Fractures, run by Chang Gung Memorial Hospital at 2 sites in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 19 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yea-Ing Shyu, PhD (+886978697460, yeaing@mail.cgu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fall Incidents. (time frame: 1st month following discharge). The study lists 48 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Feb 2026; AzTrials last refreshed its copy on 30 Oct 2026.

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